Files and links (1)
salmon-et-al-2023-managing-concussion-in-the-real-world-stakeholder-perspectives-of-new-zealand-rugby-s-concussion960.24 kB
Published VersionCC BY V4.0, Open Access
Journal article
Managing concussion in the real world: Stakeholder perspectives of New Zealand Rugby's concussion management pathway
International Journal of Sports Science & Coaching, Vol.19(4), pp.1515-1530
2024
Abstract
The potential adverse consequences associated with poor concussion management highlights the need to improve the translation of concussion guidelines into consistent use in real-world sport settings. To facilitate this process, New Zealand Rugby developed a community concussion management pathway to support concussion recognition, diagnosis, and management. This study adopted a pragmatic, descriptive qualitative approach to explore key stakeholders' perceptions of the concussion management pathway, with the aim to inform policy and practice. Interviews were conducted with 123 participants, including players, parents, coaches, healthcare professionals, and school and provincial union representatives. The framework method was used to analyze data. Themes were organized according to the principles of realist process evaluation that considers contextual factors and mechanisms influencing a program's operation to produce specific outcomes. Contextual factors influencing the concussion management pathway's implementation included governing bodies' support, existing local resources, general concussion attitudes, or concussion severity. The optimal functioning of the concussion management pathway (mechanism) was influenced by (i) pathway resources, (ii) roles and relationships, (iii) buy-in and support towards the concussion management pathway, and (iv) diligence and communication. Outcomes identified included (i) hitting the target (optimally managed and enhanced awareness) or (ii) missing the mark (dissatisfaction or management gaps). Overall, participants found the concussion management pathway valuable. However, the acceptability of certain policy-related aspects and the underlying attitudes associated with these perceptions, are some areas requiring further investigation and support. Tailoring programs according to end-users' perceptions is crucial in developing context-sensitive interventions appropriate for a specific setting. These findings may act as a foundation for investigations of concussion management in other settings.
Details
- Title
- Managing concussion in the real world: Stakeholder perspectives of New Zealand Rugby's concussion management pathway
- Authors
- Danielle Margaret Salmon (Author) - New Zealand RugbySimon Walters (Author) - Auckland University of TechnologyJames Brown (Author) - Stellenbosch UniversityZachary Yukio Kerr (Author) - University of North Carolina at Chapel HillAmanda Clacy (Author) - University of the Sunshine Coast, Queensland, School of Law and SocietySierra Keung (Author) - Auckland University of TechnologyS. John Sullivan (Author) - New Zealand RugbyJohna Register-Mihalik (Author) - University of North Carolina at Chapel HillChris Whatman (Author) - Auckland University of TechnologyGisela Sole (Author) - University of OtagoMarelise Badenhorst (Corresponding Author) - Auckland University of Technology
- Publication details
- International Journal of Sports Science & Coaching, Vol.19(4), pp.1515-1530
- Publisher
- Sage Publications Ltd.
- Date published
- 2024
- DOI
- 10.1177/17479541231218518
- ISSN
- 2048-397X; 1747-9541
- Copyright note
- © The Author(s) 2023. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
- Grant note
- Funding for this study as part of NZR Community Concussion Initiative was provided by World Rugby, New Zealand Rugby Foundation and ACC through the RugbySmart program. NZ Provincial Rugby Unions
- Organisation Unit
- Centre for Human Factors and Systems Science; Thompson Institute; School of Law and Society
- Language
- English
- Record Identifier
- 99993598602621
- Output Type
- Journal article
Metrics
30 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Hospitality, Leisure, Sport & Tourism
- Psychology, Applied
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites